Mcdonald, David J

Mcdonald, David J is an individual health care provider with primary practice located at 8 Mirror Lake Dr Ste A, Ormond Beach FL 32174-3101. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging is his primary health care specialty. Mcdonald, David J can be contacted via phone (386) 673-2500.

Contact Information

Primary practice address
8 Mirror Lake Dr Ste A Ormond Beach FL 32174-3101
Phone: (386) 673-2500
Fax: (386) 673-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0070742 Florida
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2084D0003X ME070742 Florida

Profile Details

NPI number 1104846815
LBN Legal business name Mcdonald, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104846815 NPPES
Florida MEDICAID 250565700

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